<div id = "editGovPersonDieModel" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="exampleModalLabel" aria-hidden="true" >
    <div class="modal-dialog modal-lg">
        <div class="modal-content">
            <div class="modal-body">
                <h3 class="m-t-none m-b ">修改死亡登记</h3>
                <div class="ibox-content">
                    <div>
                        <div>
                            <div class="form-group row">
         <label class="col-sm-2 col-form-label">记录ID</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.dieId"                   type="text" placeholder="必填，请填写记录ID" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">人口编号</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.govPersonId"                   type="text" placeholder="必填，请填写人口编号" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">区域ID</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.caId"                   type="text" placeholder="必填，请填写区域ID" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">小区ID</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.govCommunityId"                   type="text" placeholder="必填，请填写小区ID" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">人员类型</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.personType"                   type="text" placeholder="必填，请填写人员类型" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">去世类型</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.dieType"                   type="text" placeholder="必填，请填写去世类型" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">去世地点/名称</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.diePlace"                   type="text" placeholder="必填，请填写去世地点/名称" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">去世证明图片</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.imgProve"                   type="text" placeholder="必填，请填写去世证明图片" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">去世时间</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.dieTime"                   type="text" placeholder="必填，请填写去世时间" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">预计开始时间</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.startTime"                   type="text" placeholder="必填，请填写预计开始时间" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">预计结束时间</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.endTime"                   type="text" placeholder="必填，请填写预计结束时间" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">葬礼地点/名称</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.funeralPlace"                   type="text" placeholder="必填，请填写葬礼地点/名称" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">家人联系人</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.contactPerson"                   type="text" placeholder="必填，请填写家人联系人" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">家人联系电话</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.contactTel"                   type="text" placeholder="必填，请填写家人联系电话" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">备注</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.ramark"                   type="text" placeholder="必填，请填写备注" class="form-control">
         </div>
</div>
<div class="form-group row">
         <label class="col-sm-2 col-form-label">数据状态</label>
         <div class="col-sm-10">
           <input v-model="editGovPersonDieInfo.statusCd"                   type="text" placeholder="必填，请填写数据状态" class="form-control">
         </div>
</div>

                            <div class="ibox-content">
                                <button class="btn btn-primary float-right" type="button" v-on:click="editGovPersonDie()" ><i class="fa fa-check"></i>&nbsp;保存</button>
                                <button type="button" class="btn btn-warning float-right" style="margin-right:20px;" data-dismiss="modal">取消</button>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
